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Ac" CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDD1YYYY) 119/2026 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT RON WOOTEN NAME, CONTINENTAL BROKERS, INC. PnHrc°NE 601-707-1028 X2229 FAXAIC Ne): 601-707-1017 PO BOX 2662 E-MAIL ADDRESS: ron@continentalbrokers.biz MADISON,MS 39130 INSURER(S)AFFORDING COVERAGE NAM INSURER A: SiriusPoint America Insurance Company 38776 INSURED INSURER B Gryphon Fitness Studio LLC INSURERC: INSURER D; 912 Magnolia Ave INSURER E: Placentia CA 92870 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUER POLICY EFF POLICY EX? LTR TYPE OF INSURANCE IN-RD NUVD POLICY NUMBER MMfDDNYYY] mmrDDlYYYY) LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 u DAMAGE TO RENTED CLAIMS-MADE /�f OCCUR PREMISES Erenc�l _ $ 300,000 X Profess anal Liability Agg$1 m a Occur MED EXP(Any one person} $ 0 A X Participant Liability Agg$1 m Y Y PLH01GL00004162 05/08/2025 05/0812026 PERSONAL&ADV INJURY $ 1,000,000 GENT AGGREGATE LIMIT APPLIES PER' GENERAL AGGREGATE $ 3.000,000 X POLICY PRO- JECT LOG PRODUCTS-COMPIOP AGG $ 3.060—M OTHER: Sexual Abuse Agg $ 2,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $a accident) _ ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS I } HIRED NON-OWNED PROPERTY DAMAGE AUTOS ONLY AUTOS ONLY Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE [AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETORIPARTNEFZJEXECUTIVE F-1 E.L.EACH ACCIDENT $ OFFICERIMEMBEREXCLUDED? N 1 A - (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under — DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ Maximum Benefit $25,000 A ACCIDENT 8 HEALTH PHSA-BAMH-12086-25 05108/2025 05/08/2026 AD&D $10,000 Deductible $250 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Certificate Holder is included as Additional Insured as respects to General Liability per Endorsement.Waiver f Subrogation is included. *Cancellation:10-days Notice for Non-Payment of premium or 30 days for all other reasons. �71!!T CERTIFICATE HOLDER CANCELLATION rgyen at 3:57pm,Jan 27,2028 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Santa Ana ACCORDANCE WITH THE POLICY PROVISIONS. Attn:Parks,Recreation,and Community Services Agency 20 Civic Center Plaza M-23 AUTHORIZED REPRESENTATIVE Santa Ana CA 92701 /gyZ, fi(/d9 O 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD